Claim total
$6,526.86
base $93.39 · payer covered $6,476.86
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2004-04-09
- Stop
- 2004-04-10
The parties
- Patient
- patient Elden Cary DuBuque
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicaid
Record id
2f6fe81f-21ca-2f76-5f15-564a1311f2a4